NUR320 STUDY GUIDE 2026 ACTUAL
QUESTIONS WITH SOLUTIONS GRADED A+
● techniques for providing atraumatic care. Answer: - therapeutic
communication (goal directed, focused and purposeful)
- therapeutic play: provides emotional outlet or coping devices
- child education: helps child understand the reason for the
hospitalization/procedures in developmentally appropriate ways
- parental education: engages parents as active participants in health care
team
● pediatric communication. Answer: - define words that have multiple
meanings
- consider family/ caregiver (are there any barriers?, anticipatory
guidance)
- children think concretely
● pediatric age and communication. Answer: infancy = children
primarily use and respond to nonverbal communication
early childhood = children focus communication on themselves;
experience of others is of no interest to them
school age = children require explanations and reasons why procedures
are being done to them
,adolescence = children are often willing to discuss their concern with an
adult outside the family and often welcome the opportunity to interact w
the nurse
● components of health assessment. Answer: 1. Chief complaint
2. History of present illness
3. Past Medical history
- Medical concerns
- Medications
- Allergies
- Hospitalizations
- Surgeries
- Immunizations
4. Review of systems
5. Family health history
6. Social History
● role of the provider - interview and examination. Answer: - establish
rapport and trust
--- make them feel safe
--- incorporate play and games
--- position or place of comfort
--- explain and describe everything
,- demonstrate respect for child and caregiver
- effective communication
- observe, notice, or perceive (something) and register it as being
significant
- items to consider:
--- growth curves
--- developmental age
--- explore and observe family dynamics
--- vital signs
--- child's baseline and physiologic state
● physical examination. Answer: - head to toe = head, neck, eyes, ears,
nose, mouth and throat, skin, thorax and lungs, breasts, heart and
peripheral perfusion, abdomen, genitalia and rectum, musculoskeletal
system, and neurologic system
**By System- general, neuro, HEENT, cardiac, respiratory, GI, GU,
motor, skin
- or a combo of above
● preventing/minimizing physical stressors. Answer: minimize physical
distress during procedures
- engage the child in identifying what would make him or her
comfortable
- use positions that are comfortable to the child
, - therapeutic hugging
- use distraction methods (music, conversation)
● Remember to get what you can get when you can get it. Answer: - be
prepared = children are less predictable
- play, engage, comfort = build rapport
- family centered care = shared decision making
- once you start, be organized and non-threatening = may need to come
back to complete assessment
● approach to care - newborns and infants. Answer: - caregiver holds the
baby
- distraction
- auscultate heart, lungs, abdomen while baby is quiet
- count heart rate and respiratory rate before undressing the baby
- head-to-toe assessment
● approach to care - toddler. Answer: - incorporate play and pictures into
the examination
- allow toddler to sit in the caregiver's lap
- positioning for infants and toddlers
- option for palpation, sit in a knee-to-knee position with the parent and
lay child across
QUESTIONS WITH SOLUTIONS GRADED A+
● techniques for providing atraumatic care. Answer: - therapeutic
communication (goal directed, focused and purposeful)
- therapeutic play: provides emotional outlet or coping devices
- child education: helps child understand the reason for the
hospitalization/procedures in developmentally appropriate ways
- parental education: engages parents as active participants in health care
team
● pediatric communication. Answer: - define words that have multiple
meanings
- consider family/ caregiver (are there any barriers?, anticipatory
guidance)
- children think concretely
● pediatric age and communication. Answer: infancy = children
primarily use and respond to nonverbal communication
early childhood = children focus communication on themselves;
experience of others is of no interest to them
school age = children require explanations and reasons why procedures
are being done to them
,adolescence = children are often willing to discuss their concern with an
adult outside the family and often welcome the opportunity to interact w
the nurse
● components of health assessment. Answer: 1. Chief complaint
2. History of present illness
3. Past Medical history
- Medical concerns
- Medications
- Allergies
- Hospitalizations
- Surgeries
- Immunizations
4. Review of systems
5. Family health history
6. Social History
● role of the provider - interview and examination. Answer: - establish
rapport and trust
--- make them feel safe
--- incorporate play and games
--- position or place of comfort
--- explain and describe everything
,- demonstrate respect for child and caregiver
- effective communication
- observe, notice, or perceive (something) and register it as being
significant
- items to consider:
--- growth curves
--- developmental age
--- explore and observe family dynamics
--- vital signs
--- child's baseline and physiologic state
● physical examination. Answer: - head to toe = head, neck, eyes, ears,
nose, mouth and throat, skin, thorax and lungs, breasts, heart and
peripheral perfusion, abdomen, genitalia and rectum, musculoskeletal
system, and neurologic system
**By System- general, neuro, HEENT, cardiac, respiratory, GI, GU,
motor, skin
- or a combo of above
● preventing/minimizing physical stressors. Answer: minimize physical
distress during procedures
- engage the child in identifying what would make him or her
comfortable
- use positions that are comfortable to the child
, - therapeutic hugging
- use distraction methods (music, conversation)
● Remember to get what you can get when you can get it. Answer: - be
prepared = children are less predictable
- play, engage, comfort = build rapport
- family centered care = shared decision making
- once you start, be organized and non-threatening = may need to come
back to complete assessment
● approach to care - newborns and infants. Answer: - caregiver holds the
baby
- distraction
- auscultate heart, lungs, abdomen while baby is quiet
- count heart rate and respiratory rate before undressing the baby
- head-to-toe assessment
● approach to care - toddler. Answer: - incorporate play and pictures into
the examination
- allow toddler to sit in the caregiver's lap
- positioning for infants and toddlers
- option for palpation, sit in a knee-to-knee position with the parent and
lay child across
